Joints of upper limb Flashcards
List three types of joint
1.fibrous joints
2.cartilaginous joints
3.synovial joints
What example and characteristics fibrous joint
suture- bones of skull
syndesmosis- between tibia and fibula
gomphosis- between tooth and alveolar socket
- no movement
-bones united by fibrous tissue
what example and characteristics cartilaginous joints
synchondrosis- primary, hyaline cartilage , temporary union, replaced by bone ; epiphyseal plate
symphysis- secondary, fibrocartilage is separated from the bone by thin plates of hyaline cartilage ;pubic symphysis, intervertebral joints
-slight movement
-bones united by fibrocartilage or hyaline
what is synovial joint and characteristic
-joints contains cavity
-subdivided by fibrous or menisci
-articular surface covered with hyaline cartilage
-bones united by capsule and ligaments
-fibrous capsule lined by a synovial membrane
-free movement
-bones united by articular capsule and ligaments
what is degenerative osteoarthritis
-rubbing of bones
-thinned cartilage
what is inflammatory rheumatoid arthritis
-bone erosion
-inflamed synovial membrane:gout and rheumatoid
What is non axial synovial joint ?
Plane / gliding joint
- articular surface are slightly curved
-Sternoclavicular
-Acromioclavicular
-Intercarpal jt
What is 2 uniaxial joint
-hinge jt
-pivot jt
What diff and example hinge joint and pivot joint
Hinge jt-movement in one plane
-permit flexion and extension
: humero-ulnar , interphalangeal joint
Pivot joint
-permit rotation
-one bones rotates within a bony
:Atlanto, proximal radio-ulnar
What 3 example biaxial synovial joint
Ellipsoid jt
Saddle jt
condyloid jt
what joint articulating surface are much longer in one direction
Radio-carpal joint , biaxial jt
Carpo- metacarpal joint of thumb under what joint?
Saddle joint , biaxial
What characteristics condyloid jt
-consist 2 distinct articular surface, called condyle
-resemble hinge joint
-permit several kind movements
: metacarpo- phalangeal jt
What is multiaxial jt
Ball and Socket jt
- Spherical surface of on bone moves within a socket of the other bone
-3 axes
:shoulder jt and hip jt
Shoulder joint , articulating bones are ?
-large, rounded head of Humerus
-shallow, pear shaped Glenoid fossa of scapula
- glenoid labrum, deepen glenoid cavity by rim of fibrocartilage
Articular capsule of shoulder joint
- margin of glenoid fossa
-anatomical neck of humerus
Capsule of shoulder joint strengthened by ?
-Tendons of rotator cuff
-Glenohumeral ligament
-Transverse humeral ligament
-Coracohumeral ligament
Capsule: thin and lax, allow wide range movement
what the weakest area of shoulder jt and accommodate abduction
Inferior redundant part of capsule
What characteristics of synovial membrane of shoulder joint
-lines by capsule
-attached to margin articular surface
-forms tubular sheath
-Extension of synovial membrane through anterior wall of capsule
-Lies between subscapularis tendon and fibrous casule
Subscapularis bursa
What relations of anterior shoulder jt
-Subscapularis
-Axillary nerve
-Brachial plexus
What posterior relation shoulder jt
-infraspinatus
teres minor
What superior relation shoulder jt
supraspinatus
deltoid
subacromial bursa
Coracoacromial ligaments
What inferior relation shoulder jt
-triceps brachii
-axillary nerve
-posterior circumflex humeral vessel
shoulder jt- blood supply
-anterior circumflex humeral artery
-posterior circumflex humeral artery
-suprascapular artery
shoulder joint- nerve supply
-axillary nerve
-suprascapular nerve
-lateral pectoral nerve
Shoulder joint sensitive to?
pain
pressure
excessive traction
distension
shoulder joints strength and stability provided by 3 factor?
1.Muscle -tone rotator cuff muscles
2.Fibrous - Blending of rotator cuff muscles tendons with joint capsule
3.Bone- skeletal arch
instability of join is contributed by ?
-shallowness of glenoid fossa of scapula
-weak ligaments jt
what is anterior inferior dislocation
cause: sudden violence to humerus when fully abducted
-head of humeus tilted downward toward weak part jt
-to subglenoid position
-then,subcoracoid position
What is posterior dislocation
cause: direct violence to front of jt
-rare cond
-associated epileptic seizures, electrocution
what other types of dislocations
-inferior dislocation
-intrathoracic
what 3 result of dislocation shoulder jt
-loss pf rounded appearance of shoulder
-Axillary nerve injury:
downward displacement of head of humerus
paralysis deltoid
-Radial nerve injury:
due to stretching radial nerve by inferiorly displaced humeral head
wrist drop deformity
Articulating bones of elbows joint
humero-radial
-capitulum humerus
-head radius
humero-ulnar
-trochlea humerus
-trochlear notch ulna
Articular capsule -elbow jt
above: margin coronoid n radial fossa
medial n lateral epicondyles
below: margin coronoid process of ulna
anular ligament
synovial membrane elbow jt
lines capsule
nerve supply for elbow jt
-median nerve
-ulnar nerve
-musculocutaneous nerve
-radial nerve
muscle involve in flexion n extension in elbow jt
flexion- 3B , brachialis, biceps brachii, brachioradialus, pronator teres
extension- triceps,anconeus
movement elbow joint
normal 5-15 degree away from body
male- 170 degrees
female - 167 degrees
What muscle involved in pronation and supination elbow jt
pronation- pronator teres, pronator quadratus
supination- biceps brachii, supinator
supination mor powerful than pronation sbb: strength of the biceps brachii muscle
articulating bones wrist joint and type of joint
-radius
-articular disc
-carpal bones (scaphoid, lunate, triquetrum)
ellipsoid jt
articular capsule-wrist join
above: lower end radius n ulna
beliw: proximal row of carpal bones
ligaments wrist join
-Anterior ligament
-posterior ligament
-medial ligament
-lateral ligament
what characteristics synovial membrane and nerve supply of wrist joint
synovial membrane
-lines capsule
-cavity does not communicate with inferior radio ulnar jt
nerve supply
- Anterior interosseous nerve
-posterior interosseous nerve
-ulnar nerve
wrist joint movement consists of?
-flexion n extension
-abduction n adduction
- no rotary movement due to ellipsoid articular surface
-compensated by pronation n supination movement